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1831246107
KWANG Y YI
CENTREVILLE, VA
NPI
1831246107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204167)
Enumeration Date
2007-01-05
Last Update Date
2009-01-16
Business Address
-- KWANG Y YI PT
14631 LEE HWY SUITE 115
CENTREVILLE, VA 20121-5824
Phone number: 703-825-7130
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Mailing Address
-- KWANG Y YI PT
13452 STREAM VALLEY DR
CHANTILLY, VA 20151-2624
Phone number: 703-961-8447
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